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Home My WebLink AboutX2017-3653 - Permitsc"�`,° City of Newport Beach - Building Division I IIIIIIIIIIIIIIIIIIII�IIIIIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit :X2017-3653 Per Civic Center Drive, Newport Beach, CA 92660 x 2 0 1 7 3 6 5 3 Project No : 2552-2017 �' � Permit Counter Phone (949)644-3288 F v Inspection Requesjs,Phone (949)644-3255 "r;�yxt�svc' Combination Type - SFP Issued Date: 11/15/2017 Inspection Area : 8 PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. Construction Hours: Monday - Friday 7:00 a.m. to 6:30 p.m. and Saturday from 8:00 a.m. to 6:00 p.m. Na wor r Holidays Job Address: 20262 ORCHID ST NS Description: SFR REMOVE (E) UNPERMITTED PATIO, INSTALL NEW/ATT PATIO COVER 40 SF (CITY STD) *STO 17-0— 202* Legal Desc.: N TR 1500 LOT 31 0 R/BLDR � r RBEtC:'dat'e' Owner: CASABONNE TIM d Address: 7623 BAY DR #301 d ss: GENT: ter'' Addres X00% refun� HUNTINGTON BEACH '"' IK _IQr �jr��0 or Phone: hon one: State Li ; Applicant: CHEN MIKE Ogg., � .. Con State � °@gPhom; Address: 20212 BAYVIEW AVE ire' A ess: NEWPORT BEACH CA 9 60 us ic: Phone: 949-322-4472 is E Phone: , State t<* c Code Edit: 2016 Worker ompensation Insurance ener: g`• Type of Construction: Carrier: slddress: Occupancy Group: R31U Added /New sq.ft. Bldg: 0 0-1 Phone: Added /New sq. ft. Garage: 0 No of Stories: 1 ildinar: / Special Conditions: T W��111��ttt 0((12 i No of Units: 1 ront: / Bldg Height. 0 Left: I Bldg Sprinklers: Right: / Flood Zone: Use Zone: rki 0 (x8d) Construction Valuation: $1.500.00 1 P----& ff Building Permit Fee: $337.00 Plan Check Fee: $244.50 Overtime Plan Ck: ` $0.00 Investigation Fee: $0.00 Record Management: $0.00 Energy Complianca: $0.00 CA Seismic Safety: $0.00 Disabled Access: $0.00 Hazardous Mat $0.00 Building Green Fee: $1.00 TOTAL FEE: $620.00 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: A ditional FeekWtjrk S'ad Grading Bonds Fee: $0.00 Grading PConsultant Grading Permit Fee: Insp. Fee: a /a: $0.00 Plumbing %: $0.00 Plan Check Fee Planning Department - Plan check Fee: Fair e� JH Trans In -lieu Hous e__ Farb orfn k5 D a ion PAN Plan Check: San Dist: NMUSD Fee: $0.00 GGa .11, $0.00 $0.00 $0.00 $0.00 Building Dept Adm $0.00 General Service $0.00 Refund Deposit $0.00 Grading Bond: $0500 Fee Due at Permit Issuance c m . o o a ROBLL�WO°RFecFA*kOVALtt a 0 o c aco o •eo �� PLAN CHECK BY: APP�20�rAf�Ti06$�:VE'ao c � c e v a — C O X10 e 6 C GG(! UL Uti G u Ct.L G(.0 $0.00 $0.00 $620.00 C OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reason(s) indicated below by the checkmark(s) I have placed next to the applicable item(s) (Section 7031.5, Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for the permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors' State License Law (Chapter 9 (commencing with Section 7061J) of -Division 3 of the Business and Professions Code) or that he or she is exempt from licensure and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500). ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through employees' or personal effort, builds or improves the property, provided that the 1155 e ants are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the Owner -Builder will have the burden of proving that it was not built or improved or the purpose of sale). ❑ I, as ner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not apply an owner of property who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). I am exempt from licensure under the Contractors' State License Law for the following reason: By my signature below I acknowledge that, except for my personal residence in which I must have resided for at least one year prior to completion of the improvements covered by this permit, I cannot legal) sell a structure that I have built as an owner -builder if it has not been constructed in its entirety by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business and Professions Code, is available upon request when th>A application is sub a following Web site:http://www.leginfo.ca.gov/calaw.htmi. � Date/r r� Signature of Property Owner or Authorized Agenic LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 700M of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class License No Date Contractor Signature WORKERS' COMPENSATION DECLARATION WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($700,000{, IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. I hereby affirm under penalty of perjury one of the following declarations: I have and will maintain a certificate of consent to self -insure for workers' compensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for th performance of the work for which this permit is issued. Policy No. I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensatio insurance carrier and policy number are: Carrier Policy Number Expiration Date Name of Agent Phone # l�,certify that, in the performance of the work for which this permit is issued, I shall not employ any person in'any manner so as to become subject to the workers' compensation laws of California, and agre that, if I should become subject to the workers ens ation� provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. _,� j Signature of Applicant Jr-��!—b5�51 �"�-I— DECLARATION REGA DING CONSTRUCTION LENDING AGENCY I hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). , Lender's Name Lender's Address By my signature below, I certify to each of the following: I am the property owner or authorized to act on the property owner's behalf. I have read this application and the information I have provided is correct. - I agree to comply with all applicable city and county ordinances and state laws relating to building construction. I authorize representatives of this city or county enter th e -identified property for inspection purposes. - Signature of Property Owner or Authorized AgentPrint Property Owner's or Authorized Agent's Na ACTION DATE BY 1 DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1409 ••• • ••• ••• u• PERMITEXPIRED Q MSUBMITTEDASBEST6S NOTIFICATIONTO PERMITCANCELLED • EP PERMIT EMENDED LIACMD PERMITFINAL L3 ASBESTOS NOTIFICATION IS NOT APPLICABLE TO CERTIFICATE OF PPADSt'&JEK(5L4TIQIQ• ••• •:• OCCUPANCY ISSUED SI N 7U • • •